Individual provider Active NPI

Krishna Shankar Rangarajan, PHARMD

  • Ambulatory Care Pharmacist
  • Troy, MI
National Provider Identifier
1043868409
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
5302044559 Issued in MI
Practice address
32 Cloveridge Dr
Troy, MI 48084-5411
Phone
(248) 229-6156
NPI assigned
Aug 29, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Pharmacist 1835P2201X 5302044559 MI Primary

Addresses

Primary practice location

32 Cloveridge Dr
Troy, MI 48084-5411

Mailing address

32 Cloveridge Dr
Troy, MI 48084-5411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
5302044559MIMDAmbulatory Care Pharmacist

Interoperability endpoints

  • Direct secure messaging: krishna.rangarajan@concerto.eclinicaldirectplus.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1043868409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 CLOVERIDGE DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480845411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 CLOVERIDGE DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480845411",
            "telephone_number": "248-229-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANGARAJAN",
        "first_name": "KRISHNA",
        "middle_name": "SHANKAR",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-29",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "MI",
            "license": "5302044559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.